| NPI | 1477893600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 22228) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 774840) |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2014-06-03 |